NPI | 1609680461 |
---|---|
Doing Business As | PUBLIX PHARMACY #1884 |
Entity Type | Organization |
Authorized Contact | DAIN RUSK VP Of Pharmacy 863-688-1188 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2025-02-03 |
Last Update Date | 2025-06-09 |